Dr Grace M Sally Mellgren, MD in Roswell, NM

Dr Grace M Sally Mellgren, MD is a medicare enrolled "Ophthalmology" physician in Roswell, New Mexico. She went to Loma Linda University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Engstrom Eye Center Llc, Pacific Cataract And Laser Institute Inc Pc and her current practice location is 342 Sherrill Ln, Roswell, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 625-0123.

Dr Grace M Sally Mellgren is licensed to practice in New Mexico (license number MD2015-0927) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184709339.

Contact Information

	Dr Grace M Sally Mellgren, MD
	342 Sherrill Ln, Roswell, NM 88201-5819
	(575) 625-0123
	(575) 625-0131

Map and Direction

Physician's Profile

Full Name	Dr Grace M Sally Mellgren
Gender	Female
Speciality	Ophthalmology
Experience	41 Years
Location	342 Sherrill Ln, Roswell, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Grace M Sally Mellgren attended and graduated from Loma Linda University School Of Medicine in 1983

NPI Data:

NPI Number: 1184709339
Provider Enumeration Date: 10/26/2006
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4981590452
Enrollment ID: I20160127002165

Medical Identifiers

Medical identifiers for Dr Grace M Sally Mellgren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184709339	NPI	-	NPPES
ZZZ07175Z	Other	CA	BLUE SHIELD OF CA
00G53480	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	MD2015-0927 (New Mexico)	Primary
207W00000X	Ophthalmology	G53485 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lovelace Regional Hospital - Roswell	Roswell, NM	Hospital
Nor-lea Hospital District	Lovington, NM	Hospital
Roosevelt General Hospital	Portales, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Engstrom Eye Center Llc	4385716729	2
Pacific Cataract And Laser Institute Inc Pc	7517864119	73

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Grace M Sally Mellgren allows following entities to bill medicare on her behalf.

Entity Name	Engstrom Eye Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013187798 PECOS PAC ID: 4385716729 Enrollment ID: O20080701000044

Entity Name	Pacific Cataract And Laser Institute Inc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194970418 PECOS PAC ID: 7517864119 Enrollment ID: O20090513000079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Grace M Sally Mellgren is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Grace M Sally Mellgren, MD 342 Sherrill Ln, Roswell, NM 88201-5819 Ph: (575) 625-0123	Dr Grace M Sally Mellgren, MD 342 Sherrill Ln, Roswell, NM 88201-5819 Ph: (575) 625-0123

Reviews and Comments

Ophthalmology Doctors in Roswell, NM

Dr. Paul F Engstrom, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 342 Sherrill Ln, Roswell, NM 88201 Phone: 575-625-0123 Fax: 575-625-0131
Dr. Richard J Sidd, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 207 N Union Ave Ste C, Roswell, NM 88201 Phone: 575-622-7295 Fax: 575-622-7295
Stephen W Montgomery, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 101 N Missouri Avenue, Roswell, NM 88203 Phone: 505-623-8420

Dr Grace M Sally Mellgren, MD - Medicare Ophthalmology in Roswell, NM